Percepción del estrés en pacientes con síntomas físicos médicamente no explicados

Ramírez-Aranda, José Manuel; Loera-Manzanares, Sanjuana I.; Garza-Elizondo, Teófilo; Gómez-Gómez, Celina

doi:10.1016/s1405-8871(16)30107-9

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Furthermore, a previous study found similar findings when comparing groups with MUS versus groups with proven organic disease. [ 18 ] This result has implications for the approach to these patients, in whom the level of psychosocial stress could be measured before trying a non-pharmacological treatment. However, more research studies are necessary to clarify this.…”

Section: Discussionmentioning

confidence: 99%

“…According to a study carried out in primary care, patients with MUS at the outpatient level have a greater perception of stress than patients with an underlying organic pathology. [ 18 ] Therefore, an appropriate approach needs to know what patients think about the attribution of the emotional or organic symptom. For this, a scale with good psychometric properties and reliability was designed to measure this psychological attribution.…”

Section: Introductionmentioning

confidence: 99%

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Symptom attribution and stress level in patients with medically unexplained symptoms in a Mexican emergency department

Aranda

Sanchez

Guedea

et al. 2022

Journal of Family Medicine and Primary Care

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Background: Patients who come to the emergency department are different from those seen in outpatient clinics. The former suffer greater stress. Aim: Establish an association between the attribution of the symptoms (psychosocial or organic) by the patient and the level of perceived stress in patients with Medically Unexplained Physical Symptoms (MUS) in an emergency department. Methods: A correlational cross-sectional study was conducted in 138 patients with MUS in the emergency department of a 3rd level public hospital where the psychosocial or organic attribution of nonspecific symptom(s) by patients and the perceived stress were measured with validated scales. Bivariate analysis was performed with Chi square for categorical variables, and a Spearman correlation, p <0.05. Results: 75% of patients with psychosocial attribution have higher stress compared to patients with organic symptom attribution (25%). In Spearman’s correlation, a medium but statistically significant correlation was obtained. Conclusions: The psychosocial attribution of the patient’s complaint might coexist in MUS patients with higher level of perceived stress by the patients. Health professionals might need to address both psychosocial attributions and stress in MUS patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Symptom attribution and stress level in patients with medically unexplained symptoms in a Mexican emergency department

Aranda

Sanchez

Guedea

et al. 2022

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

show abstract

“…La asociación entre el estrés y la presencia de síntomas inespecíficos ya ha sido establecida. 8 Aún más, se ha demostrado la efectividad de métodos como la técnica de resolución de problemas. [9][10][11] La terapia cognitiva conductual parece ser un enfoque psicosocial práctico; sin embargo, pocos médicos de atención primaria tienen la formación necesaria para ayudar a los pacientes y sus familias.…”

Section: Introductionunclassified

Atribución de síntomas en pacientes con síntomas médicamente inexplicables. Un estudio de validación y desarrollo de la escala

Ramírez-Aranda¹,

Morales-Ramírez²,

Frías-Gómez³

et al. 2022

GMM

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Introducción: En la atención de pacientes con síntomas físicos médicamente no explicables (SFMNE) es importante lo que el paciente piensa de sus síntomas. Objetivo: Validar propiedades psicométricas de una escala de atribución del síntoma en pacientes con SFMNE y verificar su confiabilidad. Métodos: Se entrevistó a una muestra no probabilística de 400 pacientes adultos, hombres y mujeres, en la consulta de un hospital con medicina familiar, 200 con SFMNE y 200 con patología orgánica concreta. Se diagnosticó a cada grupo con criterios definidos y se aplicó una escala con validez de contenido y de constructo por medio de análisis de componentes principales con rotación varimax. Resultados: La escala quedó integrada por 12 reactivos con dos factores, uno de atribución psicosocial y otro de atribución orgánica del síntoma. El factor de origen psicosocial tuvo una varianza de 49.7 %. La prueba de bondad de ajuste mostró que la matriz de correlaciones fue adecuada y la prueba de esfericidad de Bartlett indicó significación estadística (p < 0.0001); el alfa de Cronbach fue de 0.841. Conclusión. La escala mostró una validez de constructo aceptable y buena confiabilidad y estabilidad. Se discuten las implicaciones de estos resultados para la investigación de mediciones futuras.

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Percepción del estrés en pacientes con síntomas físicos médicamente no explicados

Cited by 2 publications

References 8 publications

Symptom attribution and stress level in patients with medically unexplained symptoms in a Mexican emergency department

Symptom attribution and stress level in patients with medically unexplained symptoms in a Mexican emergency department

Atribución de síntomas en pacientes con síntomas médicamente inexplicables. Un estudio de validación y desarrollo de la escala

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